TABLE 1

Conditions associated with diving exposure and their impact on the physiology of the respiratory system and possibly resulting adverse clinical consequences

Pathophysiological changesPossible adverse clinical effects
Elevated pressure
 OxygenHyperoxiaOxidative stress
Airway inflammation
 NitrogenVenous gas microbubblesImpaired diffusion capacity
Pulmonary hypertension
ImmersionCentral blood pooling
Reduced lung compliance
Increased work of breathing
Dyspnoea
Scuba
 Breathing gasDry and cold gas
Increased density of gas
Increased airway resistance
Respiratory heat loss
Airway inflammation
Airway narrowing
Dyspnoea
 Pressure regulatorIncreased work of breathingDyspnoea
Aggravation of airway drying and cooling when bypassing nasal airways#
ExertionIncreased work of breathingDyspnoea
Carbon dioxide retention
Exercise-induced bronchoconstriction
Capillary stress failure
Pulmonary oedema
WaterIncreased heat conduction and convection
Increased respiratory heat loss
Cold stress  
Hypothermia
Hypopnoea
Apnoea
  • #: when diving using a mask and breathing through a regulator.